Evidence map›Paper›PMID 39317438›Full record

Trial reportHeart (British Cardiac Society)2024

Effects of resveratrol on aortic growth in patients with Marfan syndrome: a single-arm open-label multicentre trial.

Mitzi Marlotte van Andel, Daan Bosshardt, Eric M Schrauben, Renske Merton, Roland R L van Kimmenade, Arthur Scholte, Michael G Dickinson, Danielle Robbers-Visser, Aeilko H Zwinderman, Barbara Mulder and 4 more

Abstract readMulticenter StudyClinical Trial
In one paragraph

Trial report in Heart (British Cardiac Society), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
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  7. Transport across the thoracic aortic wall: implications for aneurysm pathobiology, diagnosis, and treatment.American journal of physiology. Heart and circulatory physiology · 2025
    Review
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  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Mitzi Marlotte van Andel *Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.ORCID 0000-0002-4629-568X
Daan Bosshardt *Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.ORCID 0000-0003-0559-6985
Eric M SchraubenAmsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Renske MertonAmsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Roland R L van KimmenadeCardiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Arthur ScholteCardiology, Leiden University Medical Center, Leiden, The Netherlands.
Michael G DickinsonCardiology, UMCG, Groningen, The Netherlands.
Danielle Robbers-VisserAmsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Aeilko H ZwindermanAmsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Barbara MulderAmsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Aart J NederveenAmsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Pim van Ooij *Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Maarten Groenink *Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Vivian de Waard *Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands v.dewaard@amsterdamumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResveratrol, a dietary supplement that intervenes in cellular metabolism, has been shown to reduce aortic growth rate in a mouse model of Marfan syndrome (MFS), a condition associated in humans with life-threatening aortic complications, often preceded by aortic dilatation. The primary objective of this study was to investigate the effects of resveratrol on aortic growth rate in patients with MFS .

methodsIn this investigator-initiated, single-arm open-label multicentre trial, we analysed resveratrol treatment in adults aged 18-50 years with MFS. The primary endpoint was the change in estimated annual aortic growth at five predefined levels in the thoracic aorta after 1 year of resveratrol treatment, evaluated using a linear mixed model. Aortic diameters were measured by cardiac MRI at three time points to analyse the annual aortic expansion rate before and after initiation of treatment. Additionally, annual aortic growth was compared with growth in a previously conducted losartan randomised clinical trial.

results898 patients were screened of which 19% (168/898) patients met the inclusion criteria.36% (61/168) patients signed informed consent and 93% (57/61) aged 37±9 years, of which 28 males (49%) were included in the final analysis of the study. 46% (26/57) had undergone aortic root replacement prior to the study. Aortic root diameters remained stable after 1.2±0.3 years of resveratrol administration. A trend towards a decrease in estimated growth rate (mm/year) was observed in the aortic root (from 0.39±0.06 to -0.13±0.23, p=0.072), ascending aorta (from 0.40±0.05 to -0.01±0.18, p=0.072) and distal descending aorta (from 0.32±0.04 to 0.01±0.14, p=0.072).

conclusionResveratrol treatment for 1 year may stabilise the aortic growth rate in adult patients with MFS. However, a subsequent randomised clinical trial with a longer follow-up duration and a larger study cohort is needed to establish an actual long-term beneficial effect of this dietary supplement in patients with MFS. TRIAL REGISTRATION NUMBER: NL66127.018.18.

Indexed as

Aorta, ThoracicMarfan SyndromeResveratrolAdolescentAdultFemaleHumansMaleMiddle AgedTime FactorsTreatment OutcomeYoung AdultResveratrolAneurysm, DissectingAortic AneurysmMagnetic Resonance ImagingMarfan SyndromePharmacology, Clinical

Identifiers

PMID39317438
PMCPMC11671954

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.